Evaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI)
Abstract Introduction The composite coverage index (CCI) is the weighted average coverage of eight preventive and curative interventions received along the maternal and childcare continuum. This study aimed to analyse maternal and child health indicators using CCI. Methods We performed a secondary a...
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| Format: | Article |
| Language: | English |
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BMC
2023-05-01
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| Series: | BMC Pregnancy and Childbirth |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12884-023-05718-y |
| _version_ | 1797817738012393472 |
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| author | Diao Cisse Almamy Amara Toure Abdourahamane Diallo Juste Aristite Goungounga Kadio Jean-Jacques Olivier Kadio Ibrahima Barry Souleymane Berete Aboubacar Sidiki Magassouba Souleymane Hassane Harouna Alseny Yarie Camara Younoussa Sylla Kola Cisse Maïmouna Sidibe Abdoulaye Toure Alexandre Delamou |
| author_facet | Diao Cisse Almamy Amara Toure Abdourahamane Diallo Juste Aristite Goungounga Kadio Jean-Jacques Olivier Kadio Ibrahima Barry Souleymane Berete Aboubacar Sidiki Magassouba Souleymane Hassane Harouna Alseny Yarie Camara Younoussa Sylla Kola Cisse Maïmouna Sidibe Abdoulaye Toure Alexandre Delamou |
| author_sort | Diao Cisse |
| collection | DOAJ |
| description | Abstract Introduction The composite coverage index (CCI) is the weighted average coverage of eight preventive and curative interventions received along the maternal and childcare continuum. This study aimed to analyse maternal and child health indicators using CCI. Methods We performed a secondary analysis of demographic and health surveys (DHS) focused on women aged 15 to 49 and their children aged 1 to 4. This study took place in Guinea. The CCI (meeting the need for planning, childbirth assisted by qualified healthcare workers, antenatal care assisted by qualified healthcare workers, vaccination against diphtheria, pertussis, tetanus, measles and Bacillus Calmette-Guérin, taking oral rehydration salts during diarrhoea and seeking care for pneumonia) is optimal if the weighted proportion of interventions is > 50%; otherwise, it is partial. We identified the factors associated with CCI using the descriptive association tests, the spatial autocorrelation statistic and multivariate logistic regression. Results The analyses involved two DHS surveys, with 3034 included in 2012 and 4212 in 2018. The optimal coverage of the CCI has increased from 43% in 2012 to 61% in 2018. In multivariate analysis, in 2012: the poor had a lower probability of having an optimal CCI than the richest; OR = 0.11 [95% CI; 0.07, 0.18]. Those who had done four antenatal care visits (ANC) were 2.78 times more likely to have an optimal CCI than those with less OR = 2.78 [95% CI;2.24, 3.45]. In 2018: the poor had a lower probability of having an optimal CCI than the richest OR = 0.27 [95% CI; 0.19, 0.38]. Women who planned their pregnancies were 28% more likely to have an optimal CCI than those who had not planned OR = 1.28 [95% CI;1.05, 1.56]. Finally, women with more than 4 ANC were 2.43 times more likely to have an optimal CCI than those with the least OR = 2.43 [95% CI; 2.03, 2.90]. The spatial analysis reveals significant disparities with an aggregation of high partial CCI in Labé between 2012 and 2018. Conclusion This study showed an increase in CCI between 2012 and 2018. Policies should improve access to care and information for poor women. Besides, strengthening ANC visits and reducing regional inequalities increases optimal CCI. |
| first_indexed | 2024-03-13T08:57:52Z |
| format | Article |
| id | doaj.art-e97993e5d8ad485eb95e93c888cdb233 |
| institution | Directory Open Access Journal |
| issn | 1471-2393 |
| language | English |
| last_indexed | 2024-03-13T08:57:52Z |
| publishDate | 2023-05-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Pregnancy and Childbirth |
| spelling | doaj.art-e97993e5d8ad485eb95e93c888cdb2332023-05-28T11:30:33ZengBMCBMC Pregnancy and Childbirth1471-23932023-05-0123111510.1186/s12884-023-05718-yEvaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI)Diao Cisse0Almamy Amara Toure1Abdourahamane Diallo2Juste Aristite Goungounga3Kadio Jean-Jacques Olivier Kadio4Ibrahima Barry5Souleymane Berete6Aboubacar Sidiki Magassouba7Souleymane Hassane Harouna8Alseny Yarie Camara9Younoussa Sylla10Kola Cisse11Maïmouna Sidibe12Abdoulaye Toure13Alexandre Delamou14Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser UniversityDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser UniversityCentre Hospitalo-Universitaire Ignace Deen, Service de GynécologieUniv Rennes, EHESP, CNRS, Inserm, Arènes-UMR 6051, RSMS-U 1309, F-35000Department of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser UniversityNational Centre for Training and Research in Rural Health (CNFRSR) of MaferinyahCatholic Relief ServiceDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser UniversityMedécins Sans Frontières BelgiqueNational Centre for Training and Research in Rural Health (CNFRSR) of MaferinyahNational Centre for Training and Research in Rural Health (CNFRSR) of MaferinyahMédecins Sans Frontière EspagneCentre Hospitalo-Universitaire Fann, Service de Maladies Infectieuses et TropicalesCentre de Recherche Et de Formation en Infectiologie de GuinéeDepartment of Public Health, Faculty of Health Sciences and Techniques, Gamal Abdel Nasser UniversityAbstract Introduction The composite coverage index (CCI) is the weighted average coverage of eight preventive and curative interventions received along the maternal and childcare continuum. This study aimed to analyse maternal and child health indicators using CCI. Methods We performed a secondary analysis of demographic and health surveys (DHS) focused on women aged 15 to 49 and their children aged 1 to 4. This study took place in Guinea. The CCI (meeting the need for planning, childbirth assisted by qualified healthcare workers, antenatal care assisted by qualified healthcare workers, vaccination against diphtheria, pertussis, tetanus, measles and Bacillus Calmette-Guérin, taking oral rehydration salts during diarrhoea and seeking care for pneumonia) is optimal if the weighted proportion of interventions is > 50%; otherwise, it is partial. We identified the factors associated with CCI using the descriptive association tests, the spatial autocorrelation statistic and multivariate logistic regression. Results The analyses involved two DHS surveys, with 3034 included in 2012 and 4212 in 2018. The optimal coverage of the CCI has increased from 43% in 2012 to 61% in 2018. In multivariate analysis, in 2012: the poor had a lower probability of having an optimal CCI than the richest; OR = 0.11 [95% CI; 0.07, 0.18]. Those who had done four antenatal care visits (ANC) were 2.78 times more likely to have an optimal CCI than those with less OR = 2.78 [95% CI;2.24, 3.45]. In 2018: the poor had a lower probability of having an optimal CCI than the richest OR = 0.27 [95% CI; 0.19, 0.38]. Women who planned their pregnancies were 28% more likely to have an optimal CCI than those who had not planned OR = 1.28 [95% CI;1.05, 1.56]. Finally, women with more than 4 ANC were 2.43 times more likely to have an optimal CCI than those with the least OR = 2.43 [95% CI; 2.03, 2.90]. The spatial analysis reveals significant disparities with an aggregation of high partial CCI in Labé between 2012 and 2018. Conclusion This study showed an increase in CCI between 2012 and 2018. Policies should improve access to care and information for poor women. Besides, strengthening ANC visits and reducing regional inequalities increases optimal CCI.https://doi.org/10.1186/s12884-023-05718-yComposite coverage indexMaternal and child healthCare continuumDHSGuinea |
| spellingShingle | Diao Cisse Almamy Amara Toure Abdourahamane Diallo Juste Aristite Goungounga Kadio Jean-Jacques Olivier Kadio Ibrahima Barry Souleymane Berete Aboubacar Sidiki Magassouba Souleymane Hassane Harouna Alseny Yarie Camara Younoussa Sylla Kola Cisse Maïmouna Sidibe Abdoulaye Toure Alexandre Delamou Evaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI) BMC Pregnancy and Childbirth Composite coverage index Maternal and child health Care continuum DHS Guinea |
| title | Evaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI) |
| title_full | Evaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI) |
| title_fullStr | Evaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI) |
| title_full_unstemmed | Evaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI) |
| title_short | Evaluation of maternal and child care continuum in Guinea: a secondary analysis of two demographic and health surveys using the composite coverage index (CCI) |
| title_sort | evaluation of maternal and child care continuum in guinea a secondary analysis of two demographic and health surveys using the composite coverage index cci |
| topic | Composite coverage index Maternal and child health Care continuum DHS Guinea |
| url | https://doi.org/10.1186/s12884-023-05718-y |
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